How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $64.57 | Facility | None | $34.67 | $34.67 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $29.51 | $34.67 | $34.67 |
BCBS Setting Facility Modifier None Typical Low $37.15 Median $41.69 Typical High $58.88 | Facility | None | $37.15 | $41.69 | $58.88 |
BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $23.99 | $30.90 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.44 Typical High $38.90 | Professional | None (both parts) | $20.42 | $23.44 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $45.71 Typical High $60.26 | Facility | None | $34.67 | $45.71 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.20 Typical High $32.36 | Professional | None (both parts) | $27.54 | $30.20 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $35.48 Typical High $40.74 | Professional | None (both parts) | $25.12 | $35.48 | $40.74 |
7 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | 26 · Professional part | $10.96 | $12.02 | $15.85 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.80 Median $15.14 Typical High $16.22 | Professional | 51 · Multiple procedures | $13.80 | $15.14 | $16.22 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $6.03 Typical High $6.46 | Professional | 80 · Assistant surgeon | $5.50 | $6.03 | $6.46 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.80 Median $4.27 Typical High $4.57 | Professional | 81 · Minimal assistant surgeon | $3.80 | $4.27 | $4.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.80 Median $4.27 Typical High $4.57 | Professional | 82 · Assistant surgeon, no resident | $3.80 | $4.27 | $4.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.80 Median $4.27 Typical High $4.57 | Professional | AS · PA/NP assist | $3.80 | $4.27 | $4.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.20 Typical High $23.99 | Professional | TC · Technical part | $16.22 | $18.20 | $23.99 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 43rd of 51
$30.90
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.